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Hypotension or Low Blood Pressure

September 3rd, 2017 Leave a comment Go to comments



By : Ririn Sholiha


Speaking hypotension or low blood pressure, certainly in our minds is the first symptom that is frequent dizziness and fainting, it is often really asked by my patients in practice, when they come with complaints of dizziness sure that they ask is’ how my blood pressure dock ?, is down? according to the notes I read, hypotension (low blood pressure) is a condition where blood pressure is lower than 90/60 mmHg or blood pressure low enough to cause symptoms – symptoms such as dizziness and fainting.

So no one khan questions posed by the patient? dizziness and fainting are the most common symptoms experienced by the patient is hypotensive symptoms arise because of the disruption oxygen delivery to the brain.

Actually, the body has a mechanism to stabilize blood pressure, stability of blood pressure is important because the pressure should be high enough to deliver oxygen and nutrients to all the cells in the body and dispose of the waste generated, if the pressure is too high, can tear the blood vessels and cause bleeding in brain (hemorrhagic stroke) or other complications, if the pressure is too low, the blood can not deliver oxygen and nutrients are sufficient for the cell and can not dispose of waste generated properly.

Of the many causes of hypotension then hypotension due to changes in body position or orthostatic hypotension is the most frequent, when the patient is said to suffer from this type of hypotension? When encountered a decrease in systolic blood pressure below 80 mmHg settle or drop in systolic blood pressure greater than 30 mmHg followed by clinical symptoms when a change in body position of the bed to stand arrived – arrived.

Clinical symptoms that occur quite varied complaints of patients with a complaint neuropathy, autonomic such as tiredness, dizziness, fainting, frequent yawning, speech vague, blurred vision, facial pallor, cold sweat, nausea, uncomfortable feeling in the stomach, complaints which appears sometimes not closely related to the quality of the disease, there is a tendency to increase the quality of symptoms in the morning when I wake up, the more subsides if the patient has lunch or lay back down.


So, what exactly is the cause of hypotension? cause here can be grouped into three, namely :

* Cardiac output is reduced, cause abnormal heart rhythm, damage to or dysfunction of the heart muscle, heart valve disease, pulmonary embolism.
* Blood volume decreases, cause severe bleeding, diarrhea, excessive sweating, excessive urination.
* Increased capacity of the blood vessels, cause septic shock, exposure by heat, diarrhea, drugs vasodilators (nitrates, calcium inhibitors, ACE inhibitors).


Then, what should be done in patients with hypotension? some things you can do to reduce the symptoms of hypotension include :

– Physical activity performed regularly such as walking quite capable of reducing the onset of symptoms.
– Sleeping with your head elevated ± 30 cm and bedding can improve orthostatic hypotension via the renal artery pressure reduction mechanism which will further stimulate renin release and increases blood volume.
– Using drugs that may raise blood pressure.

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